[Target-based therapy against gastrointestinal stromal tumors--from molecular diagnosis to molecular target therapy]

Toshirou Nishida1, Keigo Yasumasa

  • 1Department of Surgery, E1, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.

Insights

Gastrointestinal stromal tumors (GIST) are driven by KIT or PDGF-R alpha gene mutations. STI571 (Gleevec) effectively treats GIST, offering good safety, but drug resistance is an emerging challenge.

Area of Science:

  • Oncology
  • Molecular Biology
  • Gastroenterology

Context:

  • Gastrointestinal stromal tumors (GIST) originate from KIT-positive mesenchymal cells.
  • Causative genetic mutations include gain-of-function in c-kit (90%) or PDGF-R alpha (5%).

Purpose:

  • To evaluate the efficacy and safety of STI571 (Gleevec) for GIST treatment.
  • To highlight Gleevec as a pioneering molecular targeted therapy for solid tumors.

Summary:

  • STI571 (Gleevec) demonstrates significant efficacy (60% partial response) in non-resectable or relapsed GIST.
  • The drug exhibits favorable tolerability and safety with infrequent severe adverse effects.
  • Gleevec represents a breakthrough in molecular targeted therapy for solid tumors.

Impact:

  • Establishes STI571 (Gleevec) as a key therapeutic option for GIST.
  • Addresses the critical need for effective treatments in advanced GIST.
  • Underscores the emergence of drug resistance as a significant future challenge in GIST therapy.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...